Med-Surg Practice A
1. A nurse has just received a report on a client following a transurethral resection of the prostate (TURP) 12 hr ago. After listening to the report in an audio clip, the nurse should identify which of the following as the priority finding? (Your going to have to click to list...
, Med-Surg Practice A
1. A nurse has just received a report on a client following a transurethral resection of the prostate
(TURP) 12 hr ago. After listening to the report in an audio clip, the nurse should identify which of
the following as the priority finding? (Your going to have to click to listen)
The client has red-colored urine with occasional clots.
2. A nurse is caring for a client who has a disposable chest drainage system with a water seal
chamber. The nurse is preparing to measure the drainage at the end of the shift. Locate the place
where the nurse should mark and measure the drainage for the shift. (You going to have to select
the HOTSPOT on picture)
At the right side of the photo on the 500 marker
3. A nurse is monitoring a client receiving general anesthesia. The nurse should recognize which of
the following as a clinic al manifestation of malignant hyperthermia?
Hear rate of 120/min.
4. A nurse is caring for a client who is 2 hr post-op following a traditional open approach
cholecystectomy. Which of the following indicates the need for further nursing
assessment?
The client has unilateral swelling of a lower extremity.
5. A nurse is caring for a client who is receiving peritoneal dialysis. The client is reporting anorexia
and constipation. Which of the following should the nurse include in the client’s plan of care?
Administer enema prior to dialysis.
6. A nurse is teaching self-care to a client who has a new colostomy. Which of the following
is appropriate information to be included in the teaching?
The ostomy bag should be emptied when it is ¼ to ½ full.
7. A nurse admits an older client to the emergency department with a fractured left wrist following
a fall. During the assessment, the client states, “Last week I crashed my car b/c my vision
suddenly became blurry.” Which of the following is the highest priority action by the nurse?
Check neurological status
8. A nurse is caring for a client who has chronic renal failure. The provider prescribes (Epogen)
injections three times per week. Which of the following statements by the client indicates a need
for further teaching about the effects of erythropoietin?
I will limit the amount of protein in my diet while taking this medication.
2
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